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Addressing safety risks in integrated care programs for older people living at home: a scoping review

BACKGROUND: Many older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older people living at home, it is also essential to maintain their safety. Integrat...

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Autores principales: Lette, Manon, Ambugo, Eliva A., Hagen, Terje P., Nijpels, Giel, Baan, Caroline A., de Bruin, Simone R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048120/
https://www.ncbi.nlm.nih.gov/pubmed/32111170
http://dx.doi.org/10.1186/s12877-020-1482-7
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author Lette, Manon
Ambugo, Eliva A.
Hagen, Terje P.
Nijpels, Giel
Baan, Caroline A.
de Bruin, Simone R.
author_facet Lette, Manon
Ambugo, Eliva A.
Hagen, Terje P.
Nijpels, Giel
Baan, Caroline A.
de Bruin, Simone R.
author_sort Lette, Manon
collection PubMed
description BACKGROUND: Many older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older people living at home, it is also essential to maintain their safety. Integrated care programs have the potential to address a wide range of risks and problems that could undermine older people’s ability to live independently at home. The aim of this scoping review is to provide insight into how integrated care programs address safety risks faced by older people living at home - an area that is rather underexplored. METHODS: Safety was conceptualised as preventing or reducing the risk of problems, associated with individual functioning and behaviour, social and physical environments, and health and social care management, which could undermine older people’s ability to live independently at home. For this scoping review a systematic literature search was performed to identify papers describing integrated care programs where at least one intervention component addressed safety risks. Data were extracted on the programs’ characteristics, safety risks addressed, and the activities and interventions used to address them. RESULTS: None of the 11 programs included in this review explicitly mentioned safety in their goals. Nevertheless, following the principles of our conceptual framework, the programs appeared to address risks in multiple domains. Most attention was paid to risks related to older people’s functioning, behaviour, and the health and social care they receive. Risks related to people’s physical and social environments received less attention. CONCLUSION: Even though prevention of safety risks is not an explicit goal of integrated care programs, the programs address a wide range of risks on multiple domains. The need to address social and environmental risks is becoming increasingly important given the growing number of people receiving care and support at home. Prioritising a multidimensional approach to safety in integrated care programs could enhance the ability of health and social care systems to support older people to live safely at home.
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spelling pubmed-70481202020-03-05 Addressing safety risks in integrated care programs for older people living at home: a scoping review Lette, Manon Ambugo, Eliva A. Hagen, Terje P. Nijpels, Giel Baan, Caroline A. de Bruin, Simone R. BMC Geriatr Research Article BACKGROUND: Many older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older people living at home, it is also essential to maintain their safety. Integrated care programs have the potential to address a wide range of risks and problems that could undermine older people’s ability to live independently at home. The aim of this scoping review is to provide insight into how integrated care programs address safety risks faced by older people living at home - an area that is rather underexplored. METHODS: Safety was conceptualised as preventing or reducing the risk of problems, associated with individual functioning and behaviour, social and physical environments, and health and social care management, which could undermine older people’s ability to live independently at home. For this scoping review a systematic literature search was performed to identify papers describing integrated care programs where at least one intervention component addressed safety risks. Data were extracted on the programs’ characteristics, safety risks addressed, and the activities and interventions used to address them. RESULTS: None of the 11 programs included in this review explicitly mentioned safety in their goals. Nevertheless, following the principles of our conceptual framework, the programs appeared to address risks in multiple domains. Most attention was paid to risks related to older people’s functioning, behaviour, and the health and social care they receive. Risks related to people’s physical and social environments received less attention. CONCLUSION: Even though prevention of safety risks is not an explicit goal of integrated care programs, the programs address a wide range of risks on multiple domains. The need to address social and environmental risks is becoming increasingly important given the growing number of people receiving care and support at home. Prioritising a multidimensional approach to safety in integrated care programs could enhance the ability of health and social care systems to support older people to live safely at home. BioMed Central 2020-02-28 /pmc/articles/PMC7048120/ /pubmed/32111170 http://dx.doi.org/10.1186/s12877-020-1482-7 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lette, Manon
Ambugo, Eliva A.
Hagen, Terje P.
Nijpels, Giel
Baan, Caroline A.
de Bruin, Simone R.
Addressing safety risks in integrated care programs for older people living at home: a scoping review
title Addressing safety risks in integrated care programs for older people living at home: a scoping review
title_full Addressing safety risks in integrated care programs for older people living at home: a scoping review
title_fullStr Addressing safety risks in integrated care programs for older people living at home: a scoping review
title_full_unstemmed Addressing safety risks in integrated care programs for older people living at home: a scoping review
title_short Addressing safety risks in integrated care programs for older people living at home: a scoping review
title_sort addressing safety risks in integrated care programs for older people living at home: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048120/
https://www.ncbi.nlm.nih.gov/pubmed/32111170
http://dx.doi.org/10.1186/s12877-020-1482-7
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